Table 2.
Sensitivities, Specificities, and Cutoffs for TCA Parameters at the Three Specificity Cutoffs, with Pixels Outside Normal Limits Considered, Regardless of Depth of Change from Baseline
Largest Area Cluster (95% CI) |
Largest Volume Cluster (95% CI) |
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Parameter | Sensitivity | 0.99 Specificity Cutoff | 0.95 Specificity Cutoff | 0.90 Specificity Cutoff | 0.99 Specificity Cutoff | 0.95 Specificity Cutoff | 0.90 Specificity Cutoff |
CSIZEdisc | Sensitivity by disc or GPA | 0.639 (0.468–0.810) | 0.667 (0.499–0.834) | 0.722 (0.562–0.882) | 0.639 (0.468–0.810) | 0.667 (0.499–0.834) | 0.722 (0.562–0.882) |
Sensitivity by disc | 0.600 (0.360–0.840) | 0.600 (0.360–0.840) | 0.750 (0.535–0.965) | 0.600 (0.360–0.840) | 0.600 (0.360–0.840) | 0.750 (0.535–0.965) | |
Specificity | 0.952 (0.837–1.00) | 0.809 (0.618–1.00) | 0.809 (0.618–1.00) | 0.952 (0.838–1.00) | 0.809 (0.618–1.00) | 0.809 (0.618–1.00) | |
Cutoff | 35.0 s-pixels | 27.0 s-pixels | 20.0 s-pixels | 35.0 s-pixels | 27.0 s-pixels | 20.0 s-pixels | |
CAREAdisc | Sensitivity by disc or GPA | 0.611 (0.438–0.784) | 0.639 (0.468–0.810) | 0.778 (0.628–0.928) | 0.611 (0.438–0.784) | 0.667 (0.499–0.834) | 0.778 (0.628–0.927) |
Sensitivity by disc | 0.550 (0.307–0.793) | 0.600 (0.360–0.840) | 0.750 (0.535–0.965) | 0.550 (0.307–0.793) | 0.600 (0.360–0.840) | 0.750 (0.535–0.965) | |
Specificity | 1.00 (0.976–1.00) | 0.857 (0.684–1.00) | 0.809 (0.618–1.00) | 1.00 (0.976–1.00) | 0.857 (0.683–1.00) | 0.809 (0.618–1.00) | |
Cutoff | 0.074 mm2 | 0.055 mm2 | 0.036 mm2 | 0.074 mm2 | 0.055 mm2 | 0.036 mm2 | |
CVOLdisc | Sensitivity by disc or GPA | 0.250 (0.094–0.405) | 0.417 (0.242–0.592) | 0.611 (0.438–0.784) | 0.250 (0.095–0.405) | 0.444 (0.268–0.621) | 0.639 (0.468–0.810) |
Sensitivity by disc | 0.350 (0.116–0.584) | 0.550 (0.307–0.793) | 0.600 (0.360–0.840) | 0.350 (0.116–0.584) | 0.600 (0.360–0.840) | 0.6500 (0.416–0.884) | |
Specificity | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.952 (0.838–1.00) | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.952 (0.838–1.00) | |
Cutoff | 0.015 mm3 | 0.010 mm3 | 0.006 mm3 | 0.015 mm3 | 0.010 mm3 | 0.006 mm3 | |
CSIZE% | Sensitivity by disc or GPA | 0.389 (0.216–0.562) | 0.500 (0.323–0.677) | 0.750 (0.595–0.905) | 0.389 (0.216–0.562) | 0.500 (0.322–0.677) | 0.750 (0.595–0.905) |
Sensitivity by disc | 0.350 (0.116–0.584) | 0.450 (0.207–0.693) | 0.750 (0.535–0.965) | 0.350 (0.116–0.584) | 0.450 (0.207–0.693) | 0.750 (0.535–0.965) | |
Specificity | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.809 (0.618–1.00) | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.809 (0.618–1.00) | |
Cutoff | 5.21% | 3.98% | 1.96% | 5.21% | 3.98% | 1.96% | |
CSIZEtotal | Sensitivity by disc or GPA | 0.333 (0.165–0.501) | 0.389 (0.216–0.562) | 0.500 (0.323–0.677) | 0.333 (0.165–0.501) | 0.389 (0.215–0.562) | 0.472 (0.295–0.649) |
Sensitivity by disc | 0.250 (0.035–0.465) | 0.350 (0.116–0.584) | 0.500 (0.256–0.744) | 0.250 (0.035–0.465) | 0.350 (0.116–0.584) | 0.450 (0.207–0.693) | |
Specificity | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.809 (0.618–1.00) | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.809 (0.618–1.00) | |
Cutoff | 164.0 s-pixels | 135.0 s-pixels | 120.0 s-pixels | 164.0 s-pixels | 135.0 s-pixels | 120.0 s-pixels | |
CAREAtotal | Sensitivity by disc or GPA | 0.333 (0.165–0.501) | 0.444 (0.268–0.621) | 0.500 (0.323–0.677) | 0.417 (0.242–0.592) | 0.417 (0.242–0.592) | 0.444 (0.268–0.621) |
Sensitivity by disc | 0.250 (0.035–0.465) | 0.400 (0.160–0.640) | 0.450 (0.207–0.693) | 0.250 (0.035–0.465) | 0.350 (0.116–0.584) | 0.350 (0.116–0.584) | |
Specificity | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.952 (0.837–1.00) | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.952 (0.837–1.00) | |
Cutoff | 0.355 mm2 | 0.288 mm2 | 0.260 mm2 | 164.0 s-pixels | 135.0 s-pixels | 120.0 s-pixels | |
CVOLtotal | Sensitivity by disc or GPA | 0.222 (0.072–0.372) | 0.222 (0.072–0.372) | 0.333 (0.165–0.501) | 0.222 (0.072–0.372) | 0.222 (0.072–0.372) | 0.333 (0.165–0.501) |
Sensitivity by disc | 0.250 (0.035–0.465) | 0.250 (0.035–0.465) | 0.350 (0.116–0.584) | 0.250 (0.035–0.465) | 0.250 (0.035–0.465) | 0.350 (0.116–0.584) | |
Specificity | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.952 (0.837–1.00) | 1.00 (0.976–1.00) | 1.00 (0.976–1.00) | 0.952 (0.837–1.00) | |
Cutoff | 0.040 mm3 | 0.033 mm3 | 0.025 mm3 | 0.040 mm3 | 0.033 mm3 | 0.025 mm3 |
Cutoffs were determined using permuted longitudinal healthy data with 1000 permutations. CSIZEdisc, the number of superpixels (s-pixels) within a cluster within the optic disc margin; CAREAdisc, area of a cluster (mm2) within the optic disc margin; CVOLdisc, volume of a cluster (mm3) within the optic disc margin; CSIZE%, cluster size in superpixels expressed as percentage of optic disc area; CSIZEtotal, the number of superpixels within the whole image field of view; CAREAtotal, area of cluster (mm2) within the whole image field of view; CVOLtotal, volume of a cluster (mm3) within the whole image field of view.